58332_RICKS, RHETT_20110908

El CAMA / ❑ DREDGE & FILL
4 GENERAL PERMIT Previous permit#
ENew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
[A Rules attached.
Applicant Name Project Location: County - I - _ �
Address
City
State ZIP
Phone # O
Fax # ( )
Authorized Agent
Affected ❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: es/ no
PNA yes / n`2; Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # River Basin
Adj. Wtr. Body S OG UQ 5 O U+i (tint a /man /unkn)
Closest Maj. Wtr. Body E)c$ v e S Q ''
NMEN so NONE RRIMI'mm !T.
AME Inow- NINE
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Agent or Applicant Printed Name
Permit Officer's Signature y
Signature ** Please read compliance statement on back of permit **
Issuing Date Expiration Date
ApplicationFee(s) Check# Local Planningfurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

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him
RHETT HOWE RICKS 2061
408 EMERALD LANDING DR
EMERALD ISLE NG 28594-2407 87.21640TN I-
l l \ f 190
Date
Pay V� �- ��-� CZ ► $ 20(j, cue
s to the order o d
Dollars
Bankof America
ACH R/T 064000020
Memo SUWSC �� i nm
i:06400 0 20l: 00 200E346 7 704110 206 L
-a

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Rhett Ricks
(Name of Property Owner)
property located at 438 Sunrise Court
(Lot, Block, Road, etc.)
I
on BOGUE SOUND in Emerald Isle N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: 2 5 2 - 3 5 4 - 5 6 7 5 MailingAddress:408 Emerald Landing Dr
Emerald Isle, NC 28594
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
RECEIVED
I do not wish to waive
AUG 2 9 2011
I do wish to waive that setback requirement.
------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMMrry
(To be filled in by individual proposing development)
#-( —
I Y° w-
.dloLks
(Information for Property Owner Applying
for Permit)
1463 HIGHWAY 24 E
Mailing Address
NEWPORT, NC 28570
City/State/Zip
252-241-1020
Telephone Number
Signature Date
/61 L-C
--------r ------------ ---------------------------------
(Ri rian Property Owner Information)
Crew Drive.
Print or Type Name
ZO
T lephone Number
Date

• Complete stems 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the carol to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
'1
kU w c-x) �.�(
X
E Ojd ISu IKr
A. Signature
J irAgart
Addre
3 Rece(iv[�o,y (Printeldt N me C. Date of el
D. Is delivery address different from item 1? 0 Yell
if YES, enter delivery address below: I, No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for MerchandisE
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 2250 0002 2388 3210
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-15,1
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can. return the card to you.
■ Attach this card to the back of the mailpiece,
or an the front if space permits.
1. Article Addressed to:
�a� a e.z-�-'ac'�6 .
Etc JaI6 Ise. , 4JC.
(2�59q
A. Signature G
❑ Agent
❑ Addresse
S. Received by (Printed Name) C. Dat of Deldvei
D. Is delivery address different from item 1? Yes
If YES, enter delivery address below: No
3. ,Seervice Type
t�i. Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for MerchandisE
❑ Insured Mail ❑ C.Q.D.
4, Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(transfer from service label) 7009 2250 0002 2388 3203
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154